Moran P A, Carey M P, Dwyer P L
Department of Urogynaecology, Royal Women's Hospital and Mercy Hospital for Women, Melbourne, Victoria, Australia.
Aust N Z J Obstet Gynaecol. 1998 Feb;38(1):102-6. doi: 10.1111/j.1479-828x.1998.tb02972.x.
In 4 cases, the clinical presentation of urethral diverticulum (UD) during pregnancy was a paraurethral mass (3), urinary incontinence (2), irritative symptoms (2), urinary tract infection (1), urethral pain and discharge (1) and voiding difficulty (1). The diagnosis of UD during pregnancy was made by transvaginal ultrasonography (2), cystoscopy (1), and after pregnancy by a voiding cystourethrogram (1). Management during pregnancy involved antibiotics (2), diverticulum aspiration (2) and incision and drainage (1). Delivery was by the vaginal route in 2 women with diverticular aspiration being performed during the second stage to aid delivery in 1 woman. Caesarean section was performed in the other 2 women for reasons unrelated to the presence of the UD. Three women had diverticulectomy performed following pregnancy for persisting symptoms. Although uncommon, it is important to diagnose urethral diverticula given the associated morbidity and the potential for causing complications during pregnancy.
4例患者孕期尿道憩室（UD）的临床表现为尿道旁肿块（3例）、尿失禁（2例）、刺激症状（2例）、尿路感染（1例）、尿道疼痛和分泌物（1例）以及排尿困难（1例）。孕期UD的诊断通过经阴道超声检查（2例）、膀胱镜检查（1例），产后通过排尿性膀胱尿道造影（1例）。孕期处理包括使用抗生素（2例）、憩室抽吸（2例）和切开引流（1例）。2名女性经阴道分娩，其中1名女性在第二产程进行憩室抽吸以协助分娩。另外2名女性因与UD无关的原因行剖宫产。3名女性产后因症状持续行憩室切除术。尽管不常见，但鉴于相关发病率以及孕期引起并发症的可能性，诊断尿道憩室很重要。
